GOSERELIN (&) BICALUTAMIDE
goserelin 3.6 mg implant [1] (&) bicalutamide 50 mg tablet [28], 1 pack
Manner of administration:Implantation/oral
Restriction
Indication: Carcinoma of the prostate
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 1 | # of repeats: 5 | DPMQ: $414.04 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| ZolaCos CP 3.6/50 | |||||
goserelin 10.8 mg implant [1 implant] (&) bicalutamide 50 mg tablet [28], 1 pack
Manner of administration:Implantation/oral
Restriction
Indication: Carcinoma of the prostate
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 1 | # of repeats: 0 | DPMQ: $1,043.58 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| ZolaCos CP 10.8/50(28) | |||||
goserelin 10.8 mg implant [1 implant] (&) bicalutamide 50 mg tablet [84], 1 pack
Manner of administration:Implantation/oral
Restriction
Indication: Carcinoma of the prostate
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 1 | Max qty units: 1 | # of repeats: 1 | DPMQ: $1,323.25 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| ZolaCos CP 10.8/50(84) | |||||